Health Encyclopedia

Hyperlordosis

Definition

Lordosis is a normal inward curve in the lower back and neck. Hyperlordosis, or swayback, occurs when the angle of the inward curve is exaggerated. The sooner hyperlordosis is treated, the better the outcome.

Symptoms

Often times there are no symptoms with hyperlordosis. Depending on the degree of abnormal curving, you may experience back pain.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. During the physical, your doctor may ask you to bend and move your back. Hyperlordosis can be seen during the exam. Some tests may be done to rule out or confirm other conditions that may be causing hyperlordosis.

Your doctor may recommend imaging tests to see the spinal curve and the structures around it. These may include:

Treatment

For mild cases of hyperlordosis, treatment is often not necessary. You may need additional treatment to resolve any underlying conditions that contribute to your hyperkyphosis. Your doctor may refer to you a specialist who treats spinal disorders.

Options include the following:

Physical Therapy

Your doctor may refer you to a therapist to learn specific exercises. Exercises may be used to strengthen muscles and increase range of motion. You may also be taught how to maintain a correct posture.

Medications

Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may be given for discomfort or to decrease swelling.

Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may be given for discomfort or to decrease swelling.

Back Brace

Braces are sometimes used with children. The brace can make sure the curve doesn’t worsen as they grow.

Surgery

Surgery may be used when the curve is severe, progresses, or when other treatment methods fail. The goal of surgery is to correct the exaggeration of the curve. The spine is corrected with a metal rod, hooks, or screws in the back bones. Surgeons also use a bone graft to promote new growth and stability.

Prevention

There are no current guidelines to prevent hyperlordosis.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.